Mitchell, Brandon
Mitchell, Brandon is an individual health care provider with primary practice located at 1101 W Eagle Dr Ste B , Decatur TX 76234-3721. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mitchell, Brandon can be contacted via phone (940) 627-1770.Contact Information
Primary practice address
1101 W Eagle Dr Ste B
Decatur TX 76234-3721
Phone: (940) 627-1770
Fax: (940) 624-2233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP129196 | Texas |
Profile Details
| NPI number | 1932570397 |
|---|---|
| LBN Legal business name | Mitchell, Brandon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2015 |
| Last updated | May 29th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932570397 | NPPES |
| Texas | MEDICAID | PENDING | |
| Texas | Other | PENDING |
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